NPIMap

Organization Active NPI

Skill Creations Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Rocky Mount, NC
National Provider Identifier
1073863296
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
MHL-064-012 Issued in NC
Legal business name
SKILL CREATIONS INC
Practice address
1045 Kinchen Dr
Rocky Mount, NC 27803-4612
Phone
(252) 442-1055
NPI assigned
Sep 14, 2012
Organization subpart
Yes
Parent organization
SKILL CREATIONS INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Hakcmann
Title
Ceo
Phone
(919) 734-7398

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X MHL-064-012 NC
Intellectual Disabilities Intermediate Care Facility 315P00000X MHL-064-012 NC Primary

Addresses

Primary practice location

1045 Kinchen Dr
Rocky Mount, NC 27803-4612

Mailing address

PO Box 1636
Goldsboro, NC 27533-1636
Phone (919) 734-7398

Other identifiers 1

IdentifierTypeStateIssuer
3406133MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Skill Creations of Clinton24 organizations share this tax ID, including this one
Part of
Skill Creations of Clinton

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1073863296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1636",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275331636",
            "telephone_number": "919-734-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 KINCHEN DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278034612",
            "telephone_number": "252-442-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILL CREATIONS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SKILL CREATIONS INCORPORATED",
        "enumeration_date": "2012-09-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "HAKCMANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-734-7398"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "MHL-064-012",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-064-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.